Ozempic (semaglutide, diabetes label) vs Wegovy (semaglutide injection)
Neither comes out ahead on the axes compared here. Wegovy scores higher on the published halfrx formula, 6.9 against 5.1; the formula takes in more than this table does.
Computed from the stored fields, so it moves when a price does. Nothing here is written by hand or by a model.
Which is cheaper, Ozempic (semaglutide, diabetes label) or Wegovy (semaglutide injection)?
Ozempic (semaglutide, diabetes label) is $199–$499 a month all-in, read from its own page on 2026-09-22; Wegovy (semaglutide injection) is $199–$399, read from its own page on 2026-09-22. At the maintenance dose both cost the same $349 a month, so price does not decide between them. Trial weight loss was 6.4% against 14.9%, from separate trials with different populations, so the gap is not a measured difference between the two. Every axis below is computed from stored fields rather than written by hand, so the comparison moves when a price does. Both were last checked on 2026-09-22. Neither carries an FTC action, a state action, a BBB F grade or an FDA warning letter. The published formula scores them 5.1 and 6.9 out of 10, arithmetic over the same stored fields rather than an editor's preference.
Head to head
| What decides it | Ozempic $199–$499/mo | Wegovy $199–$399/mo |
|---|---|---|
| Entry priceBoth start at $199/mo. | tied | tied |
| Regulatory and complaint riskNeither carries a lawsuit, an FDA warning letter or a supply-risk flag. | tied | tied |
| Average weight loss in trialsOzempic (semaglutide, diabetes label) reports 6.4% and Wegovy (semaglutide injection) 14.9%, each from its own trial. They were not compared against each other, and the populations, durations and endpoints differ, so the higher number is not a better result — it is a different study. | not comparable | not comparable |
What the trials, the titration and a year actually say
| Axis | Ozempic | Wegovy |
|---|---|---|
| Mean weight loss in the cited trial | 6.4% | 14.9% |
| The trial that figure comes from | No percentage of body weight appears anywhere on the Ozempic label, which has no weight-management section: its three trial sections cover glycemic control, cardiovascular outcomes and kidney outcomes, and all report weight in kilograms. This figure is worked out from the label's own kilograms — 6.4 kg lost from a 100.1 kg mean baseline at week 40 on 2 mg — and is an arithmetic step the label does not take. | STEP 1, Study 2 on the label (NCT03548935), 68 weeks: 14.9% mean weight loss at 2.4 mg against 2.4% on placebo, intention-to-treat. |
| Maintenance dose | 0.5 mg to 2 mg once weekly | 2.4 mg once weekly, or 1.7 mg |
| Earliest week you reach it | week 5 | week 17 |
| Year one at the published price of every step | $4,237 | $4,237 |
Trial percentages are quoted from the label or the named trial beside them. They are not a head-to-head result: different populations, different durations, different endpoints. That is why the comparison above scores this axis as not comparable rather than awarding it to the higher number. The year-one figures walk each titration step at its published price and count the thirteen fills a 28-day month bills. The full arithmetic is published.
These two are comparable, at the same price
- Both are branded semaglutide injections, at the same $349 a month once titrated, so price does not separate them.
- Against every medication on this site with a verified maintenance price, Ozempic (semaglutide, diabetes label) and Wegovy (semaglutide injection) are joint 5th cheapest of 9 — the cheapest of them all is $75.
Ozempic (semaglutide, diabetes label)
Pros
Cons
- −Using it for weight loss without diabetes is off-label. Insurers deny it on that basis and prescribers vary in willingness.[2]
- −Its top dose is 2 mg, against 2.4 mg for standard Wegovy and 7.2 mg for Wegovy HD; the Ozempic label reports no weight-loss percentage to set beside Wegovy's.[5]
- −Prescribing it off-label for weight competes with diabetes patients for supply — a recurring shortage driver.[2]
Sources
- [1] Ozempic self-pay pricing, NovoCare Pharmacy, read 12 September 2026
- [2] GoodRx and Novo Nordisk $199 cash price announcement
- [3] FDA prescribing information for OZEMPIC (semaglutide) injection
- [4] TrumpRx, the federal direct-purchase price site — $199 for the first fills for new self-pay patients, read 6 September 2026
- [5] FDA prescribing information for WEGOVY
Wegovy (semaglutide injection)
Pros
- +One flat $349 across every standard dose from 0.25 to 2.4 mg — no dose-escalation penalty and no refill deadline attached, unlike Lilly's conditional pricing on Zepbound.[1]
- +New patients pay $199 for the first two fills through 31 December 2026 — the first two of the four titration months.[2]
- +Approved for cardiovascular risk reduction, not only weight — the strongest insurance-coverage argument in the category.[1]
- +The longest real-world safety record of any modern weight-loss GLP-1.[1]
- +Commercially insured, the savings card can bring it to $25 a month, capped at $100 of savings per month.[2]
Cons
- −$1,349 monthly list price without insurance or the self-pay program.[1]
- −Weaker than tirzepatide where the two were tested head to head: in SURMOUNT-5, weight fell 13.7% on semaglutide against 20.2% on tirzepatide over 72 weeks.[6]
- −A month is one box of four weekly pens, so a year takes 13 boxes, not 12: $4,537 at $349 rather than the $4,188 that 'per month' implies.[1]
- −The new high dose, Wegovy HD 7.2 mg, sits outside the flat price at $399.[1]
- −Weekly injection, refrigerated storage, GI side effects during titration, and weight regain after stopping is the documented norm.[3]
Sources
- [1] Wegovy cost and savings, NovoCare
- [2] Wegovy Savings Offer terms, NovoCare
- [3] GoodRx launches weight loss subscription with $199 Ozempic and Wegovy pricing
- [4] FDA prescribing information for WEGOVY
- [5] TrumpRx, the federal direct-purchase price site — $199 for the first two months for new self-pay patients, read 6 September 2026
- [6] SURMOUNT-5: tirzepatide versus semaglutide in obesity (Aronne et al., N Engl J Med 2025)
Comparisons are computed from the fields on each card, not written by hand or by a model, so they change when the data does. Information only, not medical advice. halfrx may earn a commission from some links, which never changes what a comparison says.
Everything on Ozempic
- Ozempic price and terms →
- What is Ozempic? →
- Ozempic cost without insurance →
- Alternatives to Ozempic →
- Ozempic coupons and savings cards →
- Ozempic and Wegovy cash price via GoodRx →
- Ozempic first-fill price →
- Ozempic Savings Card →
- Ozempic side effects →
- Does Ozempic make you feel sick? →
- Does Ozempic cause constipation? →
- Does Ozempic cause diarrhea? →
- Does Ozempic make you throw up? →
- Does Ozempic cause stomach pain? →
- Ozempic dose schedule →
- Can you stay on a lower dose of Ozempic? →
- How to inject Ozempic →
- How long Ozempic takes to work →
- Which labels record what happens when you stop →
- Hair loss: which of the labels name it →
- Alcohol: what the labels say, and what they do not →
- semaglutide at Calibrate: the price →
- semaglutide at LifeMD: the price →
- semaglutide at NovoCare Pharmacy: the price →
- semaglutide: every product and price →
- Ivim Health: the seller →
- Mochi Health: the seller →
- CVS MinuteClinic: the seller →
- Henry Meds: the seller →
- Noom Med: the seller →
- Shed: the seller →
- Walgreens Weight Management: the seller →
- PlushCare: the seller →
Everything on Wegovy
- Wegovy price and terms →
- What is Wegovy? →
- Wegovy cost without insurance →
- Alternatives to Wegovy →
- Wegovy coupons and savings cards →
- Wegovy first-fill price →
- Wegovy savings card →
- Wegovy side effects →
- Does Wegovy make you feel sick? →
- Does Wegovy make you tired? →
- Does Wegovy cause constipation? →
- Does Wegovy cause diarrhea? →
- Does Wegovy make you throw up? →
- Does Wegovy cause hair loss? →
- Does Wegovy cause stomach pain? →
- Does Wegovy cause indigestion? →
- Does Wegovy cause acid reflux? →
- Does Wegovy make you burp? →
- Does Wegovy cause bloating? →
- Does Wegovy make you dizzy? →
- Does Wegovy cause headaches? →
- Does Wegovy cause low blood sugar? →
- Wegovy dose schedule →
- Can you stay on a lower dose of Wegovy? →
- How to inject Wegovy →
- How long Wegovy takes to work →
- What happens if you stop Wegovy →
- Hair loss: which of the labels name it →
- Alcohol: what the labels say, and what they do not →
- semaglutide at Calibrate: the price →
- semaglutide at LifeMD: the price →
- semaglutide at NovoCare Pharmacy: the price →
- semaglutide: every product and price →
- Ivim Health: the seller →
- Mochi Health: the seller →
- CVS MinuteClinic: the seller →
- Henry Meds: the seller →
- Noom Med: the seller →
- Shed: the seller →
- Walgreens Weight Management: the seller →
- PlushCare: the seller →
Ozempic against Wegovy, answered
- What happens if you stop Ozempic or Wegovy?
- Wegovy's label includes a trial that stopped the drug on purpose; Ozempic's does not, which is a difference in what is known rather than in what happens. On Wegovy's label, the people randomly assigned to stop gained 6.9% of body weight over the following 11 months while those who carried on lost 7.9% more. That figure belongs to Wegovy's trial, so this page does not apply it to Ozempic.
- Is Ozempic or Wegovy better for weight loss?
- Ozempic reports 6.4% average weight loss and Wegovy 14.9%, each from its own trial. The two were not compared against each other, so the higher figure is not a result of a head-to-head and this page does not present it as one. What is comparable is what each costs, below.
- Which is cheaper, Ozempic or Wegovy?
- Neither. Both are $349 a month all-in once titrated, each with its source and the date it was read shown above. A tie on price is the answer here, not a gap in it. Above the maintenance dose, the optional higher doses cost more: Ozempic at 2 mg is $499 and Wegovy at 7.2 mg, Wegovy HD is $399 a month.
- Can you switch between Ozempic and Wegovy?
- They are the same molecule — semaglutide — so switching is a prescribing decision rather than a change of drug. The labels' top doses differ: 2 mg for Ozempic and 7.2 mg for Wegovy.